Organization
KNOXVILLE PEDIATRIC DENTISTRY, PLLC
Active
Other names
Knoxville Pediatric Dentistry, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH REED TOWNSEND DDS (OWNER)
(865) 218-9177
Entity
Organization
Contact information
Practice address
10910 KINGSTON PIKE UNIT 105, KNOXVILLE, TN 37934-2948
(865) 218-9177
Mailing address
10910 KINGSTON PIKE UNIT 105, KNOXVILLE, TN 37934-2948
(865) 218-9177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8900
TN
1223P0221X
Pediatric Dentistry
Primary
8203
TN
1223P0221X
Pediatric Dentistry
9607
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506673
—
TN
05
—
1531634
—
TN
05
—
5440289
—
TN
Enumeration date
06/19/2013
Last updated
02/04/2015
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